RESUMO
After a report on the basic techniques and clinical significance of plasmapheresis, personal experience of the application of the technique on 6 patients with various pathologies is described. The overall results were satisfactory.
Assuntos
Esclerose Lateral Amiotrófica/terapia , Intoxicação Alimentar por Cogumelos/terapia , Miastenia Gravis/terapia , Plasmaferese , Polirradiculoneuropatia/terapia , Amanita , Estudos de Avaliação como Assunto , HumanosRESUMO
217 women have been submitted to a surgical intervention for ectopic pregnancy in the years 83 - 84 - 85 in five hospitals in Piedmont. The rupture has been observed in 147 cases (67%). The percentage of women who presented a rupture was higher among those who underwent annexiectomy (75%), average among those who underwent salpingectomy (69%) and lower in case of conservative intervention (52%). Owing to these rather high percentages, we cannot state that the rupture is a discriminating factor as far as it concerns the choice of intervention, even if a fairly more conservative orientation is evident in case of unruptured tube.
Assuntos
Doenças das Tubas Uterinas/etiologia , Gravidez Tubária/complicações , Anexos Uterinos/cirurgia , Doenças das Tubas Uterinas/epidemiologia , Tubas Uterinas/cirurgia , Feminino , Humanos , Gravidez , Gravidez Tubária/cirurgia , Ruptura EspontâneaRESUMO
The Authors describe the various types of treatment performed on 217 cases of ectopic pregnancy examined, which took place in the years 1983 - 84 - 85 in five among the main Hospital in Piedmont. 136 salpingectomies (62%), 41 annexiectomies (18%), 40 conservative interventions (20%) were performed. In most cases the destructive intervention was performed in the presence of a tubal rupture; no meaningful relations between the location and the type of surgical treatment have been found in the ectopic pregnancy. Conservative interventions have been more frequent on young women (under 35: 97%) and desiring children either because nullipara (65%) or because uniparous (27%). The highest number of conservative interventions was performed in the largest of the five Hospitals examined (23 cases: 57%). There is therefore a remarkable relation between diagnostic and therapeutic means and the possibility of performing the surgery most appropriate to the specific requirements of each case.
Assuntos
Gravidez Tubária/cirurgia , Anexos Uterinos/cirurgia , Adulto , Estudos de Avaliação como Assunto , Doenças das Tubas Uterinas/etiologia , Tubas Uterinas/cirurgia , Feminino , Humanos , Gravidez , Gravidez Tubária/complicações , Ruptura EspontâneaRESUMO
The surgical approaches followed in cases of ectopic pregnancy by the operators in two centres in Piedmont, one specialized in ostetrics and gynecology, the other a general county hospital are taken into consideration and compared. 131 cases have been registered in Turin and 30 in Biella. The salpingectomy has been performed on most cases in both centres with 56.5% and 66% respectively in the specialized Hospital and in the General one. The annexiectomy has been chosen for 25%. The intervention aiming at preserving the tube has been chosen for 17.5% in Turin and 34% in Biella. The most discriminating factor in choosing the type of intervention is mainly based on the patient's amnestic history, and therefore on her age, parity, any preceeding tube intervention and also on her desire for children.
Assuntos
Hospitais Gerais , Hospitais Especializados , Gravidez Tubária/cirurgia , Anexos Uterinos/cirurgia , Adulto , Estudos de Avaliação como Assunto , Tubas Uterinas/cirurgia , Feminino , Humanos , GravidezRESUMO
Se presenta un caso de almohadillas articulares primarias con asiento en manos y pies en un paciente de 22 anos de edad. Es tratado con infiltraciones con corticoides sin resultados positivos. Se realizan comentarios con respecto a su clinica e histopatologia
Assuntos
Adulto , Humanos , Masculino , Articulações dos Dedos , ArtropatiasRESUMO
Se presenta un caso de almohadillas articulares primarias con asiento en manos y pies en un paciente de 22 anos de edad. Es tratado con infiltraciones con corticoides sin resultados positivos. Se realizan comentarios con respecto a su clinica e histopatologia